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Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial.

Publication ,  Journal Article
Bryant, AG; Bauer, AE; Stuart, GS; Levi, EE; Zerden, ML; Danvers, A; Garrett, JM
Published in: J Pediatr Adolesc Gynecol
June 2017

STUDY OBJECTIVE: To compare immediate postpartum insertion of the contraceptive implant to placement at the 6-week postpartum visit among adolescent and young women. DESIGN: Non-blinded, randomized controlled trial. SETTING AND PARTICIPANTS: Postpartum adolescents and young women ages 14-24 years who delivered at an academic tertiary care hospital serving rural and urban populations in North Carolina. INTERVENTIONS: Placement of an etonogestrel-releasing contraceptive implant before leaving the hospital postpartum, or at the 4-6 week postpartum visit. MAIN OUTCOME MEASURES: Contraceptive implant use at 12 months postpartum. RESULTS: Ninety-six participants were randomized into the trial. Data regarding use at 12 months were available for 64 participants, 37 in the immediate group and 27 in the 6-week group. There was no difference in use at 12 months between the immediate group and the 6-week group (30 of 37, 81% vs 21 of 27, 78%; P = .75). At 3 months, the immediate group was more likely to have the implant in place (34 of 37, 92% vs 19 of 27, 70%; P = .02). CONCLUSION: Placing the contraceptive implant in the immediate postpartum period results in a higher rate of use at 3 months postpartum and appears to have similar use rates at 12 months compared with 6-week postpartum placement. Providing contraceptive implants to adolescents before hospital discharge takes advantage of access to care, increases the likelihood of effective contraception in the early postpartum period, appears to have no adverse effects on breastfeeding, and might lead to increased utilization at 1 year postpartum.

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Published In

J Pediatr Adolesc Gynecol

DOI

EISSN

1873-4332

Publication Date

June 2017

Volume

30

Issue

3

Start / End Page

389 / 394

Location

United States

Related Subject Headings

  • Young Adult
  • Postpartum Period
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Humans
  • Female
  • Desogestrel
  • Contraceptive Agents, Female
  • Contraception Behavior
  • Adult
 

Citation

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Chicago
ICMJE
MLA
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Bryant, A. G., Bauer, A. E., Stuart, G. S., Levi, E. E., Zerden, M. L., Danvers, A., & Garrett, J. M. (2017). Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial. J Pediatr Adolesc Gynecol, 30(3), 389–394. https://doi.org/10.1016/j.jpag.2016.08.003
Bryant, Amy G., Anna E. Bauer, Gretchen S. Stuart, Erika E. Levi, Matthew L. Zerden, Antoinette Danvers, and Joanne M. Garrett. “Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial.J Pediatr Adolesc Gynecol 30, no. 3 (June 2017): 389–94. https://doi.org/10.1016/j.jpag.2016.08.003.
Bryant AG, Bauer AE, Stuart GS, Levi EE, Zerden ML, Danvers A, et al. Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial. J Pediatr Adolesc Gynecol. 2017 Jun;30(3):389–94.
Bryant, Amy G., et al. “Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial.J Pediatr Adolesc Gynecol, vol. 30, no. 3, June 2017, pp. 389–94. Pubmed, doi:10.1016/j.jpag.2016.08.003.
Bryant AG, Bauer AE, Stuart GS, Levi EE, Zerden ML, Danvers A, Garrett JM. Etonogestrel-Releasing Contraceptive Implant for Postpartum Adolescents: A Randomized Controlled Trial. J Pediatr Adolesc Gynecol. 2017 Jun;30(3):389–394.
Journal cover image

Published In

J Pediatr Adolesc Gynecol

DOI

EISSN

1873-4332

Publication Date

June 2017

Volume

30

Issue

3

Start / End Page

389 / 394

Location

United States

Related Subject Headings

  • Young Adult
  • Postpartum Period
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Humans
  • Female
  • Desogestrel
  • Contraceptive Agents, Female
  • Contraception Behavior
  • Adult